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Reports

Displaying 101 - 150 of 4075

Trends in Antimicrobial Drug Prescribing During the COVID-19 Pandemic

COVID-19 has impacted antimicrobial drug prescribing both directly, through COVID-19 treatment, and indirectly, through the reduced spread of illnesses for which antimicrobial drugs are commonly prescribed.

Infographic: A Framework for Father Engagement in Services

This infographic visualizes a framework for father engagement in human services, detailing key approaches and strategies used by programs, organizations, and systems.  Related Products:

Infographic: What is Father Engagement?

This infographic defines "father engagement" and highlights ways programs, organizations, and systems play a role in promoting father engagement in services.  Related Products:

Issue Brief: Father Engagement in Human Services

Fathers want to and can play an important role in their children’s lives, but too often human services programs have not focused on supporting dads. This brief identifies approaches and strategies at the program, organization, and system levels to strengthen engagement of fathers by human services programs. 

Complex Rules and Barriers to Self-Sufficiency in Safety Net Programs: Perspectives of Working Parents

This brief discusses the perspectives of a group of working parents on receipt of federal benefits. Based on focus groups, it examines program design and implementation, participation barriers, and factors that could help working parents more readily reach financial independence. Highlights are:

Risks that Come with Increasing Earnings for Low-Income Workers Receiving Safety Net Programs: Perspectives of Working Parents

In focus group discussions with 44 working parents receiving assistance from one or more federal programs, many parents shared the view that increasing earnings involves a number of risks. Participants described the sequence of possible risk events as follows:

How Some States Use Title IV-E Foster Care Funding for Family-Based Facilities that Treat Substance Use Disorders

The Family First Prevention Services Act (FFPSA) permits states to use title IV-E foster care funding for children placed in foster care with their parent in a licensed residential family-based treatment facility for substance abuse. However, few states currently use this funding, due to barriers such as competing priorities and lack of facilities.

Air Ambulance Use and Surprise Billing

Air ambulances are used to transport patients in critical situations from the scene of an injury or accident to hospitals, or between hospitals.

Status Report on Protecting Our Infants Act Implementation Plan: 2019

In accordance with Section 7062(a) of the SUPPORT Act, in 2019 HHS published the first Status Report on Protecting Our Infants Act Implementation Plan, which included activities through August 2018 on the identification, prevention and treatment of Neonatal Abstinence Syndrome (NAS) and opioid use disorder in pregnant women.

Comprehensive Plan for Addressing High Drug Prices: A Report in Response to the Executive Order on Competition in the American Economy

President Biden’s Executive Order 14036, “Promoting Competition in the American Economy” (the Competition Executive Order), identifies a lack of competition as a key driver for problems across economic sectors.

Equity Considerations for Delivering Human Services Virtually

Virtual human services delivery has the potential to improve long-standing disparities in service access and outcomes. This brief highlights emerging lessons from the field, identifying considerations for programs to advance equity across all elements of service delivery. Related Products

The Impact of the COVID-19 Pandemic on Major HHS Data Systems

The COVID-19 pandemic and policy responses, including stay-at-home orders and expanded use of telework, disrupted data collection for major HHS data systems. This brief identifies the impact of the pandemic on 29 HHS statistical surveys and administrative data systems widely used by policymakers and the public.

The Intersection of Environmental Justice and Human Services

This infographic illustrates the intersection of environmental justice with human services policies and programs. It presents key facts about how participants in human services programs are particularly affected by environmental injustice, and the ways in which these programs can help mitigate the effects of environmental issues, including climate change.

Braiding Federal Funding to Expand Access to Quality Early Care and Education and Early Childhood Supports and Services: A Tool for States and Local Communities

This tool was developed to assist states and local communities in braiding, blending, or layering multiple federal funding streams (for example, Head Start and the Child Care and Development Fund) to increase the supply of quality early care and education and increase access to comprehensive early childhood and family support services within a coordinated, comprehensive early childhood system a

Valuing COVID-19 Mortality and Morbidity Risk Reductions in U.S. Department of Health and Human Services Regulatory Impact Analyses

This report develops an approach for valuing COVID-19 mortality and morbidity risk reductions based on the U.S. Department of Health and Human Services (HHS) Guidelines for Regulatory Impact Analysis. Valuing risk reductions associated with regulations or other policies that address the novel coronavirus disease 2019 (COVID-19) presents major challenges.

Foster Care Entry Rates Grew Faster for Infants than for Children of Other Ages, 2011-2018

Between 2011 and 2018, increasing numbers of infants were removed from their parents or caregivers. From 2011 to 2018 the number of infants entering foster care increased 24 percent reaching around 50,000 in 2018. This increase was nearly 13 times as much as the 1.8 percent increase in placements for other age groups .

Value-Based Payment and Health Care System Preparedness and Resilience

Over the past 20 years, Medicare and many private payers have transitioned to policies known collectively as value based purchasing (VBP). The COVID-19 pandemic has had an unprecedented impact on health, health care, the economy, and our daily lives over the past 15 months.

Factsheet: Estimates of Child Care Eligibility and Receipt for Fiscal Year 2018

This factsheet provides descriptive information on child care eligibility and receipt. Of the 12.8 million children eligible for child care subsidies under federal rules, 15 percent received subsidies. Of the 8.4 million children eligible for child care subsidies under state rules, 23 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

Unvaccinated for COVID-19 but Willing: Demographic Factors, Geographic Patterns, and Changes Over Time

As of August 4, 2021, 70.1 percent of U.S. adults have received at least one dose of a COVID-19 vaccine. However, vaccine coverage varies dramatically across the country, with vaccine coverage being less than 40 percent in a third of U.S. counties. Despite a sufficient supply of COVID-19 vaccines, daily vaccinations have dwindled in recent months.

Health Insurance Coverage Among Working-Age Adults with Disabilities: 2010-2018

For working-age adults with disabilities, consistent access to health insurance may be critical to continuity of care and good health outcomes. We tracked changes in health insurance coverage for this population from 2010-2018.

Research Data Networks and Patient-Centered Outcomes Research Trends and Opportunities: Scan and Interviews with Key Informants

This report focuses on research networks that engage in or support research on patient-centered outcomes. The report was produced as part of the strategic planning process for the Office of the Secretary Patient-Centered Outcomes Research Trust Fund portfolio. Related Products

Health Insurance Coverage and Access to Care for American Indians and Alaska Natives: Current Trends and Key Challenges

This Issue Brief describes changes in the uninsured rate, health coverage, and access to care for American Indians and Alaska Natives (AI/ANs) and discusses key policies for this population, including how the American Rescue Plan Act of 2021 (ARP) builds on the Affordable Care Act (ACA) and invests additional resources in the Indian health care system.

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency

States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020. Related Products

Welfare Indicators and Risk Factors, 20th Report to Congress

This report provides welfare dependence indicators through 2018 for most indicators and through 2019 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Access to Affordable Care in Rural America: Current Trends and Key Challenges

Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.

Announcement of the Availability of Funds and Request for Applications for a Cooperative Agreement to Establish a National Research Center on Poverty and Economic Mobility

The goal of this solicitation is to improve the effectiveness of public policies that reduce poverty, inequality, and their consequences, promote economic mobility and equity, and further develop knowledge of the structural causes of poverty, inequality, and economic insecurity.

The American Rescue Plan and the Unemployed: Making Health Coverage More Affordable After Job Loss

The American Rescue Plan (ARP) offers enhanced health insurance premium tax credits and cost-sharing reductions for people receiving unemployment compensation (UC) benefits in 2021. The enhanced subsidies are accessible on HealthCare.gov as of July 1, 2021.

Health Insurance Coverage and Access to Care for LGBTQ+ Individuals: Recent Trends and Key Challenges

This Issue Brief analyzes national survey data to discuss demographic characteristics of the LGB+ community, recent trends in insurance coverage for this population, and various challenges and barriers to care faced by the broader LGBTQ+ community. Related Products

Appendix D: Updating Value per Statistical Life (VSL) Estimates for Inflation and Changes in Real Income

Topics
Data
The HHS Guidelines for Regulatory Impact Analysis (2016) discuss an approach to valuing mortality risk reductions, commonly referred to as the value per statistical life (VSL). This appendix provides background information on the VSL estimates, describes the process for updating these values, reports the estimates in 2020 dollars, and illustrates their application.

The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020

Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

Vaccine Hesitancy for COVID-19: State, County, and Local Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.

Vaccine Hesitancy for COVID-19: PUMA Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.

Health Coverage Under the Affordable Care Act: Enrollment Trends and State Estimates

This Issue Brief presents current estimates of enrollment in health insurance coverage obtained through the ACA Marketplaces and the Medicaid expansion and the subsequent reductions in state-level uninsured rates since the ACA was implemented in 2014. Related Products

The History, Promise and Challenges of State All Payer Claims Databases: Background Memo for the State All Payer Claims Database Advisory Committee to the Department of Labor

The Consolidated Appropriations Act, FY 2021 requires the Department of Labor to convene a committee to report to Congress recommendations for a standardized reporting format for the voluntary reporting by group health plans to State APCDs. ASPE commissioned this report to support that committee.

COVID-19 Intensifies Home Care Workforce Challenges

June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)

Estimates of Medicaid Eligibility in Non-Expansion States

This Data Point presents estimates of potential Medicaid eligibility among uninsured, non-elderly adults in states that have not expanded Medicaid coverage to adults with incomes up to 138% of the Federal Poverty Level (FPL).  

Technology Considerations for Virtual Human Services Delivery

Program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic shared important takeaways around how to better utilize technology to administer virtual services.

Increases in Out-of-Pocket Child Care Costs: 1995 to 2016

This brief documents the increases in the average amount that families have paid for ECE over two decades among children under age five using data from the National Household Education Survey, Early Childhood Program Participation (NHES-ECPP). The findings show that the child care market has experienced considerable change in recent decades.

State and Community Efforts to Address Stimulant Use

State and Community Efforts to Address Stimulant Use Rebecca L. Haffajee and Sara Heins RAND Corporation May 2021 Link to Printer Friendly Version in PDF Format (48 PDF pages)

Health Insurance Coverage Changes: Asian Americans and Pacific Islanders

This Issue Brief analyzes changes in coverage from 2013-2019 among Asian Americans and Pacific Islanders (AAPIs) and AAPI subgroups, using a combination of data from the American Community Survey (ACS) and Marketplace data, including estimated impacts of the 2021 American Rescue Plan.

Perspectives of Program Participants on Virtual Human Services During COVID-19

Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.

Developing Health Equity Measures

Socially at-risk individuals receive lower-quality health care and experience worse health outcomes than more advantaged individuals. One way to address this in the Medicare population is to use Medicare’s value-based purchasing (VBP) programs, quality reporting efforts, and confidential reports as tools to drive improvements in quality.

Physician Understanding and Willingness to Prescribe Biosimilars: Findings from a US National Survey

This study presents the findings of a national survey of physicians about their knowledge of biosimilar biological products as well as the impact of biological product naming conventions on prescriber choice. Related Products

Department of Health & Human Services Evaluation Policy

This is an evaluation policy for the Department of Health and Human Services (HHS), required by the Foundations for Evidence-based Policymaking Act of 2018 (Evidence Act). ASPE convened a group of agency representatives from across HHS operating and staff divisions to develop the policy.

Department of Health & Human Services FY 2022 Evaluation Plan

As part of the Evidence Act, HHS is required to submit “an evaluation plan describing activities the agency plans to conduct pursuant to [its evidence-building plan].” Nine operating divisions within HHS and one staff division developed evaluation plans and included information on priority questions being examined by the agencies as well as data, methods, and challenges to addressing those ques

Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States

Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.

Factors influencing variation between states in efficiency of COVID-19 vaccine administration

Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.

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